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Community Services for the Elderly

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181. Environmental Risk Factors for Community-Acquired MRSA

and Prevention. General information about MRSA in the community. Atlanta, GA: U.S. Department of Health and Human Services, CDC; 2013 [cited 2014 Jun 26]; Available from: http://www.cdc.gov/mrsa/community/index.html. 3. Virginia Department of Health. Methicillin-Resistant Staphylococcus aureus (MRSA). Richmond, VA: Virginia Department of Health; 2014 [cited 2014 August 8]; Available from: http://www.vdh.virginia.gov/Epidemiology/Surveillance/MR SA/#ColonizationvsInfection. 4. Department of Health. Screening (...) Control and Prevention. Environmental management of Staph and MRSA in community settings. Atlanta, GA: U.S. Department of Health and Human Services, CDC; 2008 [cited 2015 Jan 7]; Available from: http://www.djj.state.fl.us/docs/health- services/environmental-management-of- mrsa.pdf?sfvrsn=0. 12. Public Health Agency of Canada. Fact sheet - Community-acquired Methicillin-resistant Staphylococcus aureus (CA-MRSA). Ottawa, ON: Public Health Agency of Canada; 2008 [cited 2014 Jun 26]; Available from: http

2015 National Collaborating Centre for Environmental Health

182. Solithromycin Triskel - community-acquired pneumonia, anthrax and tularaemia

of distribution Vc volume of distribution of the central compartment Vss steady state volume of distribution Vz volume of distribution associated with the terminal elimination phase WTKG body weight Assessment Report EMA/CHMP/226929/2017 Page 4/93 1. Recommendation Based on the review of the data on quality, safety and efficacy, the CHMP considers that the application for Solithromycin Triskel EU Services (solithromycin) in the treatment of community-acquired pneumonia (CAP), anthrax and tularaemia (...) Solithromycin Triskel - community-acquired pneumonia, anthrax and tularaemia 30 Churchill Place ? Canary Wharf ? London E14 5EU ? United Kingdom An agency of the European Un on Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact © European Medicines Agency, 2017. Reproduction is authorised provided the source is acknowledged. 15 December 2016 EMA/CHMP/226929/2017 Committee for Medicinal Products for Human Use (CHMP) Assessment

2017 European Medicines Agency - EPARs

183. Community Versus Inpatient Rehabilitation in Hip Fracture Pateints

Toolkit by Bone and Joint Decade Canada notes three main rehabilitation settings: inpatient, community-based, and supportive living environments. The toolkit defines inpatient rehabilitation as any form of rehabilitation in a freestanding facility or hospital; community-based as rehabilitation where extensive home services are available; and supportive living as rehabilitation in a place that offers assistance in living, such as a nursing home or lodge. (5) As legislated in Ontario’s Excellent Care (...) Community Versus Inpatient Rehabilitation in Hip Fracture Pateints Community Versus Inpatient Rehabilitation in Hip Fracture Patients: A Rapid Review. April 2013; pp. 1–23. Community Versus Inpatient Rehabilitation in Hip Fracture Patients: A Rapid Review M Ghazipura April 2013 Community Versus Inpatient Rehabilitation in Hip Fracture Patients: A Rapid Review. April 2013; pp. 1–23. 2 Suggested Citation This report should be cited as follows: Ghazipura M. Community versus inpatient

2013 Health Quality Ontario

184. Optimizing Chronic Disease Management in the Community (Outpatient) Setting

can: – reduce the burden of illness and improve patient outcomes – reduce resource utilization intensity, and are often cost-effective – be a viable contributing factor to chronic disease management in the community Aging in the Community ? Based on moderate to high quality evidence, interventions that treat or reduce the risk of falls, urinary incontinence, dementia, or social isolation can improve health outcomes in the community-dwelling elderly. ? Based on moderate to high quality evidence (...) , regular exercise can significantly improve health outcomes in the community-dwelling elderly through the primary or secondary prevention of falls, urinary incontinence (using pelvic floor muscle training), dementia, and social isolation. 11 Decision Determinants A decision-making framework has been developed by the Ontario Health Technology Advisory Committee (OHTAC) that consists of 7 guiding principles for decision making, and a decision-making tool, called the Decision Determinants tool. When

2013 Health Quality Ontario

185. Incidence of and Risk Factors for Severe Adverse Events in Elderly Patients Taking Angiotensin-Converting Enzyme Inhibitors or Angiotensin II Receptor Blockers after an Acute Myocardial Infarction. (PubMed)

& Medicaid Services Chronic Conditions Data Warehouse (Medicare service claims database), American Community Survey of the U.S. Census Bureau, and Multum Lexicon Drug database.A total of 101,588 eligible Medicare fee-for-service beneficiaries 66 years or older, who were hospitalized for AMI between January 1, 2008, and December 31, 2009, and used ACEIs or ARBs within 30 days after discharge.Primary outcomes were hospitalizations for acute renal failure (ARF) and hyperkalemia. The secondary outcome (...) Incidence of and Risk Factors for Severe Adverse Events in Elderly Patients Taking Angiotensin-Converting Enzyme Inhibitors or Angiotensin II Receptor Blockers after an Acute Myocardial Infarction. To assess the incidence of and risk factors associated with severe adverse events in elderly patients who used angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) after an acute myocardial infarction (AMI).Retrospective cohort study.Centers for Medicare

2017 Pharmacotherapy

186. Epidemiological survey of the feasibility of broadband ultrasound attenuation measured using calcaneal quantitative ultrasound to predict the incidence of falls in the middle aged and elderly. (PubMed)

<0.05) in the ≥70 year old group.The incidence of falls was highest in the ≥70 year old group. Using QUS-C-derived BUA is feasible for predicting the incidence of falls in community-dwelling elderly people aged ≥70 years.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. (...) Epidemiological survey of the feasibility of broadband ultrasound attenuation measured using calcaneal quantitative ultrasound to predict the incidence of falls in the middle aged and elderly. We investigated whether calcaneal quantitative ultrasound (QUS-C) is a feasible tool for predicting the incidence of falls.Prospective epidemiological cohort study.Community-dwelling people sampled in central western Taiwan.A cohort of community-dwelling people who were ≥40 years old (men: 524; women: 676

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2017 BMJ open

187. Health care use and costs at the end of life: a comparison of elderly Australian decedents with and without a cancer history. (PubMed)

Health care use and costs at the end of life: a comparison of elderly Australian decedents with and without a cancer history. There is limited population-level research on end-of-life care in Australia that considers health care use and costs across hospital and community sectors. The aim of this study was to quantify health care use and costs in the last 6 months of life in a cohort of elderly Australian decedents and to examine the factors associated with end-of-life resource use and costs.A (...) retrospective cohort study using routinely collected health data from Australian Government Department of Veterans' Affairs clients. The study included two cohorts of elderly Australians who died between 2005 and 2009; one cohort with a recorded cancer diagnosis and a comparison cohort with no evidence of a cancer history. We examined hospitalisations, emergency department (ED) visits, prescription drugs, clinician visits, pathology, and procedures and associated costs in the last 6 months of life. We used

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2017 BMC Palliative Care

188. What is inappropriate hospital use for elderly people near the end of life? A systematic review. (PubMed)

What is inappropriate hospital use for elderly people near the end of life? A systematic review. Older people with advance chronic illness use hospital services repeatedly near the end of life. Some of these hospitalizations are considered inappropriate.To investigate extent and causes of inappropriate hospital admission among older patients near the end of life.English language publications in Medline, EMBASE, PubMed, Cochrane library, and the grey literature (January 1995-December 2016 (...) ) covering community and nursing home residents aged ≥60years admitted to hospital.measurements of inappropriateness. A 17-item quality score was estimated independently by two authors.The definition of 'Inappropriate admissions' near the end of life incorporated system factors, social and family factors. The prevalence of inappropriate admissions ranged widely depending largely on non-clinical reasons: poor availability of alternative sites of care or failure of preventive actions by other healthcare

2017 European journal of internal medicine

189. Physical Abuse of Elderly Adults: Victim Characteristics and Determinants of Revictimization. (PubMed)

more likely to be assaulted through unarmed force by a proximal relative, in particular a husband, boyfriend, child, or child-in-law. Based on hospital records, only 57% of community-dwelling cases had their abuse reported to Adult Protective Services or the police, and only 26.6% had Adult Protective Services investigations on record.Better screening that connects victims of abuse with community services, police action, and alternative residential options is important in reducing the risk (...) Physical Abuse of Elderly Adults: Victim Characteristics and Determinants of Revictimization. To describe victim characteristics and determinants of recurrent physical abuse of elderly.Multicenter retrospective analysis of multiple data systems to study victims of elder mistreatment in the greater Chicago metropolitan area.Five teaching hospitals with Level 1 trauma centers.Individuals aged 60 and older treated for physical and sexual abuse between 2000 and 2011.History of revictimization

2017 Journal of the American Geriatrics Society

190. Northern Shanghai Study: cardiovascular risk and its associated factors in the Chinese elderly-a study protocol of a prospective study design. (PubMed)

is to establish a CV risk score based on a community-dwelling Chinese elderly population, determining the profile of the associated CV risk factors and target organ damages (TODs), so as to guide the later intervention.The Northern Shanghai Study is an ongoing prospective community-based study. After enrolment, clinical examination, anthropometric measurement and a questionnaire will be administered to each participant at baseline and after every 2 years in the follow-up. Our tests and examinations include (...) Northern Shanghai Study: cardiovascular risk and its associated factors in the Chinese elderly-a study protocol of a prospective study design. Cardiovascular (CV) diseases are the leading cause of death and disability in the world. Increasing lifespans and ageing populations also contribute to an increasing CV burden. However, in China, there were few well-designed cohort studies focusing on the elderly population, let alone an established CV risk score. The objective of this study

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2017 BMJ open

191. Understanding factors influencing the adoption of mHealth by the elderly: An extension of the UTAUT model. (PubMed)

Understanding factors influencing the adoption of mHealth by the elderly: An extension of the UTAUT model. mHealth (mobile health) services are becoming an increasingly important form of information and communication technology (ICT) enabled delivery for healthcare, especially in low-resource environments such as developing countries like Bangladesh. Despite widespread adoption of mobile phones and the acknowledged potential of using them to improve healthcare services, the adoption (...) , however, revealed no significant relation between the facilitating condition and the users' behavioral intention to use the mHealth services (p>0.05).This study confirms the applicability of UTAUT model in the context of mHealth services among the elderly in developing countries like Bangladesh. It provides valuable information for mHealth service providers and policy makers in understanding the adoption challenges and the issues and also provides practical guidance for the successful implementation

2017 International journal of medical informatics

192. Reducing Post-discharge Adverse Drug Events Amongst the Elderly: a Multi-centre Electronic Deprescribing Intervention

medical hospitalization and community services. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03272607 Contacts Layout table for location contacts Contact: Emily G McDonald, MD, MSc 514-934-1934 ext 48488 Contact: Todd C Lee, MD, MPH 514-934-1934 (...) Reducing Post-discharge Adverse Drug Events Amongst the Elderly: a Multi-centre Electronic Deprescribing Intervention Reducing Post-discharge Adverse Drug Events Amongst the Elderly: a Multi-centre Electronic Deprescribing Intervention - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number

2017 Clinical Trials

193. Effectiveness of a Intervention to Reduce the Social Isolation and Loneliness of Elderly Residents at Home

in elderly telecare users. Design: Clinical trial randomized by cluster, multicentric. Location: Nine health centers of the Andalusian Health Service (Spain). Subjects and methods: Subjects with social isolation. Age 65 or older. Residents in your home. Telecare users. Persons with cognitive impairment or dementia, difficulty in responding to scales, legal incapacitation or not giving consent will be excluded. 9 health centers will be randomly assigned to the intervention and control groups. The people (...) in social relations and empathic and emotional communication. loneliness [ Time Frame: 6 months ] De Jong-Gierveld de Soledad Scale, which assesses individual subjective perception of social participation or isolation in the elderly population. Secondary Outcome Measures : Health Related Quality of Life [ Time Frame: 6 months ] Health Related Quality of Life (EuroQol-5D scale) Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important

2017 Clinical Trials

194. Supporting Elderly People With Cognitive Impairment During and After Hospital Stays- Intersectoral Care Management

to Brief Summary: Sectorisation of the German health care system causes inefficient treatment, especially in elderly with cognitive impairments. At time of transition from hospitals into primary care it lacks, among others, coordination of post-operative care or timely communication between healthcare providers. This results in deterioration of disease and comorbidities, higher rates of re-admission and institutionalizations. Models of collaborative care have shown their efficacy in primary care. Main (...) Supporting Elderly People With Cognitive Impairment During and After Hospital Stays- Intersectoral Care Management Supporting Elderly People With Cognitive Impairment During and After Hospital Stays- Intersectoral Care Management - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number

2017 Clinical Trials

195. Panel Study Investigating Status of Cognitively Impaired Elderly in Singapore

Panel Study Investigating Status of Cognitively Impaired Elderly in Singapore Panel Study Investigating Status of Cognitively Impaired Elderly in Singapore - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Panel Study Investigating Status of Cognitively Impaired Elderly in Singapore (PISCES) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03382223 Recruitment Status : Recruiting First Posted : December 22, 2017 Last Update

2017 Clinical Trials

196. Intervention for the Elderly With Malnutrition, Hidden Hunger and Low Skeletal Muscle Mass

Intervention for the Elderly With Malnutrition, Hidden Hunger and Low Skeletal Muscle Mass Intervention for the Elderly With Malnutrition, Hidden Hunger and Low Skeletal Muscle Mass - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Intervention for the Elderly With Malnutrition, Hidden Hunger and Low Skeletal Muscle Mass The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03648580 Recruitment Status : Recruiting First Posted

2017 Clinical Trials

197. Potential barriers in healthcare access of the elderly population influenced by the economic crisis and the troika agreement: a qualitative case study in Lisbon, Portugal (PubMed)

for elective surgery; and poor unadapted housing conditions for elderly.The health reforms and health budget cuts in the MoU implemented as part of the troika agreement have been associated with increasing health inequalities in access to healthcare services for the elderly population. The majority of responses disclosed an increasing deficiency across the entire National Health Service (NHS) to collaborate, integrate and communicate between the different healthcare sectors for providing adequate care (...) Potential barriers in healthcare access of the elderly population influenced by the economic crisis and the troika agreement: a qualitative case study in Lisbon, Portugal The recent economic and financial crisis in Portugal urged the Portuguese Government in April 2011 to request financial assistance from the troika austerity bail out program to get aid for its government debt. The troika agreement included health reforms and austerity measures of the National Health Service (NHS) in Portugal

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2017 International journal for equity in health

198. Smart Homes for Elderly Healthcare—Recent Advances and Research Challenges (PubMed)

in terms of costs associated with elderly healthcare and wellbeing. In order to cope with the growing need for elderly healthcare services, it is essential to develop affordable, unobtrusive and easy-to-use healthcare solutions. Smart homes, which incorporate environmental and wearable medical sensors, actuators, and modern communication and information technologies, can enable continuous and remote monitoring of elderly health and wellbeing at a low cost. Smart homes may allow the elderly to stay (...) Smart Homes for Elderly Healthcare—Recent Advances and Research Challenges Advancements in medical science and technology, medicine and public health coupled with increased consciousness about nutrition and environmental and personal hygiene have paved the way for the dramatic increase in life expectancy globally in the past several decades. However, increased life expectancy has given rise to an increasing aging population, thus jeopardizing the socio-economic structure of many countries

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2017 Sensors (Basel, Switzerland)

199. Quantitative Properties of the Macro Supply and Demand Structure for Care Facilities for Elderly in Japan (PubMed)

Quantitative Properties of the Macro Supply and Demand Structure for Care Facilities for Elderly in Japan As the Asian country with the most aged population, Japan, has been modifying its social welfare system. In 2000, the Japanese social care vision turned towards meeting the elderly's care needs in their own homes with proper formal care services. This study aims to understand the quantitative properties of the macro supply and demand structure for facilities for the elderly who require (...) support or long-term care throughout Japan and present them as index values. Additionally, this study compares the targets for establishing long-term care facilities set by Japan's Ministry of Health, Labor and Welfare for 2025. In 2014, approximately 90% of all the people who were certified as requiring support and long-term care and those receiving preventive long-term care or long-term care services, were 75 years or older. The target increases in the number of established facilities by 2025

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2017 International journal of environmental research and public health

200. BEYO Project to Promote Sense of Coherence and Self-care of Elderly People With Type 2 Diabetes

, 2017 Sponsor: Chinese University of Hong Kong Information provided by (Responsible Party): Lei Yang, Chinese University of Hong Kong Study Details Study Description Go to Brief Summary: Objectives of the Project The BEYO project is designed based on the middle range theory of self-care of chronic illness and salutogenic theory. The aim of this project is to facilitate self-care behaviours of community-dwelling elderly patients with type 2 diabetes through promoting SOC, and accordingly improve (...) related to type 2 diabetes. Contents for the routine education will be based on the national guideline of basic public health service for diabetes and specific implementation protocols in each community. Participants in control group will receive 5-weekly education packet at the same time with participants in intervention group. The patients will not be given any strengths-based information, but they are free to discuss their disease status with nurses or physicians at their regular follow-up

2017 Clinical Trials

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